Provider Demographics
NPI:1215017595
Name:DINSMORE, JOHN PORTER (DDS)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:PORTER
Last Name:DINSMORE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10533 LAKECOVE WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5530
Mailing Address - Country:US
Mailing Address - Phone:865-966-2865
Mailing Address - Fax:865-966-2865
Practice Address - Street 1:117 HUXLEY RD # B-2
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3179
Practice Address - Country:US
Practice Address - Phone:865-693-5030
Practice Address - Fax:865-693-5024
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TND27031223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice